在普通康复和力量练习期间,部 flexor 肌肉的激活
Jessica Juan1, Gretchen Leff1, Kate Kevorken1
1Stanford Health Care, Outpatient Orthopedic & Sports Medicine Rehabilitation Department, Redwood City, CA 94063, USA.
Journal of clinical medicine
|November 9, 2024
概括
这一系统性审查显示,具有更大的部曲的运动,如腿部抬起,显著增加 iliopsoas 肌肉的激活. 它提供了基于证据的进展,以加强这一关键肌肉的部稳定性.
科学领域:
- 生物力学和运动学.
- 康复科学 康复科学 康复科学
- 肌肉骨健康 肌肉骨健康
背景情况:
- 状肌肉对于腰骨和部前部的稳定性至关重要.
- 这在部发育不良和部微小不稳定等疾病中尤为重要.
- 了解运动期间的 iliopsoas 激活是有效康复的关键.
研究的目的:
- 系统地审查电肌图 (EMG) 研究在常见的康复练习期间 iliopsoas 激活.
- 建立一个以证据为基础的进展,加强 iliopsoas 肌肉.
主要方法:
- 在PubMed,CINAHL和Embase数据库中的系统文献搜索.
- 包括109名健康成年参与者 (20-40岁) 的9项研究.
- 使用修改后的下方和黑名单进行偏差风险评估;遵守PROSPERO指南.
主要成果:
- 随着30-60°的部曲,状体的激活会增加,尤其是在腿部降低/升高的炼中.
- 观察到高激活率 (>60% MVIC) 在主动直腿提升 (ASLR) ~60°部曲和部曲/腿提升中.
- 中等激活 (40-60% MVIC) 在中等范围的ASLR (~45°部曲) 和部曲的干部升降中发现.
结论:
- 涉及更大的部曲的练习产生更高的 iliopsoas 激活,而不是干部主导的运动.
- 伊利奥普索斯的强化可以从闭合到开放的动力链运动中进行,并添加外部负荷.
- 这些发现为临床应用提供了一个框架,用于 iliopsoas 康复计划.
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